Individual provider · Type 1 NPI

Gary Barlow Lundberg, M.A. - LMFT

Marriage & Family Therapist · Provo, UT

NPI number 1063628485 Active

Practice location

3680 Little Rock Dr
Provo, UT 84604-5261

Fax (800) 122-4345

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	115477-3902 (UT)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1063628485

Gary Barlow Lundberg, M.A. - LMFT's National Provider Identifier is 1063628485, issued on May 15, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Provo, UT. The record was last updated on Jul 8, 2007.